Ch. 17: Preoperative Nursing Management
For the client who is taking aspirin, it is important to stop taking this medication at least how many day(s) before surgery? A) 7 B) 1 C) 3 D) 5
Ans: 7
A client is scheduled for elective surgery. To prevent the complications of hypotension and cardiovascular collapse, the nurse should report the use of which medication? A) Prednisone B) Erythromycin C) Hydrochlorothiazide D) Warfarin
Ans: A
A client with a skull fracture after falling from a ladder requires surgery. The nurse should anticipate transporting the client to surgery during what time frame? A) Immediately B) In a day C) In 48-72 hours D) In 1 week
Ans: A
When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as A) Urgent B) Emergency C) Required D) Elective
Ans: B
Which would be considered to require an urgent surgical procedure? A) Cataract B) Acute gallbladder infection C) Severe bleeding D) Loose facial skin
Ans: B
The patient of a 16 yr. old client asks the nurse, "How could the surgeron operate without my consent?" What is the best response by the nurse? A) "Your child had life-threatening that required immediate surgery" B) "2 doctors decided your child needed the surgery, therefore we did not need to get consent" C) "We obtained consent from your child after your chiild requested the surgery" D) "The surgical procedure being performed does not require consent"
Ans: A
Which health care professional has the ultimate responsibility to provide appropriate information regarding a nonemergent surgery? A) Physician B) Case Manager C) Certified nurse's aide D) Nurse
Ans: A
An example of a curative surgical procedure is A) Biopsy B) Tumor excursion C) Placement of gastrostomy tube D) Facelift
Ans: B
When a client with a history of chronic alcoholism is admitted to the hospital for surgery, the nurse anticipates that the client may show signs of alcohol withdrawl delirium during which time period? A) Immediately upon admission B) Up to 72 rs. after alcohol withdrawal C) Up to 24 hours after alcohol withdrawal D) Upon awakening in the postanesthesia care unit
Ans: B
An anxious client being prepared for surgery is encouraged to concentrate on a pleasant experience or restful scene. What cognitive coping strategy would the nurse document as being used? A) Distraction B) Optimistic self-recitaiton C) Imagery D) Progressive muscular relaxation
Ans: C
The nurse is educating clients who require surgery for various aliments about the perioperative experience. What education provided by the nurse is most appropriate? A) Expected pain levels and narcotic medications used to treat the pain B) Intraoperative techniques used to perform the surgery C) 3 phases of surgery and safety measures for each phase D) Risks and benefits of the surgical procedures
Ans: C
The nurse would identify which vitamin deficiency to prevent hemorrhaging during surgery? A) Magnesium B) Vitamin A C) Vitamin K D) Zinc
Ans: C
When a client states, "I know all will go well," what cognitive coping strategy is the client using? A) Distraction B) Imagery C) Optimistic self-recitation D) Music Therapy
Ans: C
A client is schduled for an invasive procedure. What should the nurse documaent in the chart regarding the procedure? A) A report for the dietician B) A signed consent form from the client/s family C) A detailed urinalysis report D) A signed consent form from the client
Ans: D
A fractured skull would be classified. under which category of surgery based on urgency? A) Elective B) Urgent C) Required D) Emergent
Ans: D
Clients who have received corticosteroids preoperatively are at risk for which type of insufficiency? A) Thyroid B) Pituitary C) Parathyroid D) Adrenal
Ans: D
In which instance may a surgeon operate without informed consent? A) Invasive procedures B) Radiologic procedures C) Procedures requiring sedation D) Emergency situations
Ans: D
Regarding the surgical client, which phase refers to the period of time that spans the entire surgical experience? A) Intraroperative B) Postoperative C) Preoperative D) Perioperative
Ans: D
What is the major purpose of withholding food and fluid before surgery? A) Prevent overhydration B) Decrease risk of constipation C) Decrease urine output D) Prevent aspiration
Ans: D
When a client is encouraged to concentrate on a pleasant experience or restful scene, the client is using the cognitive coping strategy called A) Progressive muscular relaxation B) Distraction C) Optimistic self-recitation D) Imagery
Ans: D
Which domain of preoperative nursing practice focuses on clinical processes and outcomes? A) Physiological responses B) Behavioral responses C) Safety D) Health care systems
Ans: D
Which is the least important issue concerning safety for the perioperative team before proceeding to the operating room? A) Surgical site B) Client identification C) Surgical procedure D) Client's ambulatory aids
Ans: D
Which nutrient plays an important role in normal blood clotting? A) Vitamin C B) Zinc C) Protein D) Vitamin K
Ans: D
A client has been transported to the operating room for emergent surgery. Which statement by the nurse best supports the need for emergent surgery? A) " The client had severe pain and laceration to the face with minimal bleeding after being attacked by a dog 1 hour ago" B) "The client was unresponsive had distended abdomen and had unstable vital signs after an MVA" C) "The client had epigastric abdominal pain, an elevated white blood count, and vomiting for 1 day" D) "The client was tachycardiac, had progressive weight loss, and experienced bouts of insomnia as a result of hyperthyroidism"
Ans:B